Article Version of Record

Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention

Author(s) / Creator(s)

Reich, Hanna
Zürn, Daniela
Mewes, Ricarda

Abstract / Description

Background: Culturally tailored interventions can increase the engagement and the success rate of psychotherapy in immigrant and ethnic minority patients. In this regard, the integration of the patients’ illness beliefs is a key element. Applying principles of Motivational and Ethnographic Interviewing, we developed a culture-tailored, web-based intervention to facilitate engagement of Turkish immigrant inpatients in psychotherapy. Method: The different aspects of the engagement intervention development are described and its acceptance and usefulness were tested in a proof-of-concept trial with an experimental control group design (active control condition: progressive muscle relaxation) in a sample of Turkish immigrant inpatients in Germany (N = 26). Illness perception, illness-related locus of control, and self-efficacy were assessed pre and post intervention. Results: The engagement intervention was rated better than the control condition (p = .002) and in particular, participants felt better prepared for therapy after working with it (p = .013). By working with the engagement intervention, self-efficacy increased (p = .034) and external-fatalistic control beliefs diminished (p = .021). However, half of the participants needed assistance in using the computer and web-based interventions. Conclusion: The developed intervention provides a first step towards feasible culture-tailored psychotherapeutic elements that can be integrated into routine clinical care. The first results regarding acceptance and usefulness are promising.

Keyword(s)

engagement motivational interviewing psycho-education web intervention cultural tailoring

Persistent Identifier

Date of first publication

2021-12-23

Journal title

Clinical Psychology in Europe

Volume

3

Issue

4

Article number

Article e5583

Publisher

PsychOpen GOLD

Publication status

publishedVersion

Review status

peerReviewed

Is version of

Citation

Reich, H., Zürn, D., & Mewes, R. (2021). Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention. Clinical Psychology in Europe, 3(4), Article e5583. https://doi.org/10.32872/cpe.5583
  • Author(s) / Creator(s)
    Reich, Hanna
  • Author(s) / Creator(s)
    Zürn, Daniela
  • Author(s) / Creator(s)
    Mewes, Ricarda
  • PsychArchives acquisition timestamp
    2022-04-14T11:19:41Z
  • Made available on
    2022-04-14T11:19:41Z
  • Date of first publication
    2021-12-23
  • Abstract / Description
    Background: Culturally tailored interventions can increase the engagement and the success rate of psychotherapy in immigrant and ethnic minority patients. In this regard, the integration of the patients’ illness beliefs is a key element. Applying principles of Motivational and Ethnographic Interviewing, we developed a culture-tailored, web-based intervention to facilitate engagement of Turkish immigrant inpatients in psychotherapy. Method: The different aspects of the engagement intervention development are described and its acceptance and usefulness were tested in a proof-of-concept trial with an experimental control group design (active control condition: progressive muscle relaxation) in a sample of Turkish immigrant inpatients in Germany (N = 26). Illness perception, illness-related locus of control, and self-efficacy were assessed pre and post intervention. Results: The engagement intervention was rated better than the control condition (p = .002) and in particular, participants felt better prepared for therapy after working with it (p = .013). By working with the engagement intervention, self-efficacy increased (p = .034) and external-fatalistic control beliefs diminished (p = .021). However, half of the participants needed assistance in using the computer and web-based interventions. Conclusion: The developed intervention provides a first step towards feasible culture-tailored psychotherapeutic elements that can be integrated into routine clinical care. The first results regarding acceptance and usefulness are promising.
    en_US
  • Publication status
    publishedVersion
  • Review status
    peerReviewed
  • Citation
    Reich, H., Zürn, D., & Mewes, R. (2021). Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention. Clinical Psychology in Europe, 3(4), Article e5583. https://doi.org/10.32872/cpe.5583
    en_US
  • ISSN
    2625-3410
  • Persistent Identifier
    https://hdl.handle.net/20.500.12034/5186
  • Persistent Identifier
    https://doi.org/10.23668/psycharchives.5790
  • Language of content
    eng
  • Publisher
    PsychOpen GOLD
  • Is version of
    https://doi.org/10.32872/cpe.5583
  • Is version of
    https://doi.org/10.23668/psycharchives.5167
  • Is related to
    https://doi.org/10.23668/psycharchives.5156
  • Is related to
    https://doi.org/10.23668/psycharchives.5155
  • Is related to
    https://doi.org/10.23668/psycharchives.5167
  • Keyword(s)
    engagement
    en_US
  • Keyword(s)
    motivational interviewing
    en_US
  • Keyword(s)
    psycho-education
    en_US
  • Keyword(s)
    web intervention
    en_US
  • Keyword(s)
    cultural tailoring
    en_US
  • Dewey Decimal Classification number(s)
    150
  • Title
    Engaging Turkish immigrants in psychotherapy: Development and proof-of-concept study of a culture-tailored, web-based intervention
    en_US
  • DRO type
    article
  • Article number
    Article e5583
  • Issue
    4
  • Journal title
    Clinical Psychology in Europe
  • Volume
    3
  • Visible tag(s)
    Version of Record
    en_US